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Simultaneous and spontaneous multivessel coronary artery dissection presenting as congestive heart failure

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Abstract

Spontaneous coronary artery dissection (SCAD) is a rare cause of myocardial ischemia. Multivessel SCAD is much rarer than single vessel involvement and acute coronary syndrome is the most frequent clinical presentation of a patient with SCAD. The patient in this report had SCAD in both the left anterior descending and right coronary arteries at the same time. However, the clinical manifestation was not acute coronary syndrome but rather congestive heart failure. Successful angioplasty and stent placement was performed and the symptoms of congestive heart failure were successfully resolved with medical treatment.

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Authors and Affiliations

  1. Division of Cardiology, Department of Internal Medicine, Korea University Ansan Hospital, 126-1, Go-jang-dong, Dan-won-gu, Ansan, 425-707, South Korea

    Yong-Hyun Kim, Seong-Hwan Kim, Sang-Yeob Lim, Woo-Hyuk Song & Jeong-Cheon Ahn

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  1. Yong-Hyun Kim
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  2. Seong-Hwan Kim
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  3. Sang-Yeob Lim
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Correspondence to Jeong-Cheon Ahn.

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Kim, YH., Kim, SH., Lim, SY. et al. Simultaneous and spontaneous multivessel coronary artery dissection presenting as congestive heart failure. Heart Vessels 26, 338–341 (2011). https://doi.org/10.1007/s00380-010-0088-y

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  • DOI: https://doi.org/10.1007/s00380-010-0088-y

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